Active NPI
Doam Kim, L.AC.
- Acupuncturist
- Fort Lee, NJ
National Provider Identifier
1154655249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- MZ00016800
- Practice address
- 166 Main St
#B
Fort Lee, NJ 07024-6922 - Phone
- (201) 585-8285
- Fax
- (201) 585-8290
- NPI assigned
- Sep 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | MZ00016800 | NJ | Primary |
Addresses
Primary practice location
166 Main St
#B
Fort Lee, NJ 07024-6922
Mailing address
166 Main St
#B
Fort Lee, NJ 07024-6922
Phone (201) 585-8285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MZ00016800 | NJ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PM Medical Acu. PC | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Englewood Cliffs, NJ
- NPI 1497260111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1154655249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 MAIN ST",
"address_2": "#B",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246922",
"telephone_number": "201-585-8285",
"fax_number": "201-585-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 MAIN ST",
"address_2": "#B",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246922",
"telephone_number": "201-585-8285",
"fax_number": "201-585-8290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DOAM",
"name_prefix": "Dr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-23",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "MZ00016800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.